Individual
DR. KEVIN DREW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
154 ELM ST, MILFORD, NH 03055-4759
(603) 673-3332
(603) 672-5844
Mailing address
154 ELM ST, MILFORD, NH 03055-4759
(603) 673-3332
(603) 672-5844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3008
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30300251
—
NH
Enumeration date
07/25/2006
Last updated
02/20/2008
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